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TOS surgery doesn't exactly have a good success rate, it's up there with labrum and anterior capsule operations.  Currently Tyler is undergoing conservative physical rehab/therapy on the shoulder and I've seen it work, I've also seen it fail.  But what it does tell is that it's the brachial plexus (the nerves) that is bothersome and likely causing tingling and numbness into his fingers.  It also signals that the subclavian vascularizaiton isn't being comprimised (no loss of blood supply to the hand/fingers.  When vascular is jacked up, surgery is a must; but if it's just nerve irritation that can be relieved with undergoing the knife.

 

Good news - I was concerned about subclavian vascularizaiton

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